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When patients present with a history of angina, previous myocardial infarction, or cardiac surgery, the treatment must focus on enhancing coronary artery function and inhibition of atherosclerosis in addition to lowering lipids. Platelet and vascular adhesion inhibitors (VCAM-1) can help to prevent restenosis after angioplasty, stent, or bypass procedures32. Caution must be observed when prescribing anticoagulants such as Salvia (Dan Shen), Ganoderma (Ling Zhi), and Pueraria (Ge Gen) with pharmaceutical anticoagulants such as Coumadin, Plavix, or aspirin, due to potential drug-herb interactions33. Eleutherococcus (Ci Wu Jia) may not be prescribed for patients on Lanoxin/Digoxin/Digitalis due to interference with lab tests for drug levels34. Separating pharmaceuticals from the dose of herbs by several hours is the best practice to minimize the risk.

Cholesterol reduce/Hypoglycemic
Astragalus (Huang Qi)
Cordyceps (Dong Chong Xia Cao)
Eleutherococcus (Ci Wu Jia)
Ginseng (Ren Shen)
Lycium bark (Di Gu Pi)
Lycium fruit (Gou Qi Zi)
Platycodon (Jie Geng)
Polygonum cuspidatum (Hu Zhang)
Polygonum multiflorum (He Shou Wu)
Salvia (Dan Shen)
Trigonella (Hu Lu Ba)

Cholesterol reduce/Insulin resistance reduce
Astragalus (Huang Qi)
Trigonella (Hu Lu Ba)

Hypoglycemic/LDL reduce
Astragalus (Huang Qi)
Eleutherococcus (Ci Wu Jia)
Ocimum (Jiu Ceng Ta)
Salvia (Dan Shen)

Retinal circulatory activators
Angelica dahurica (Bai Zhi)
Capillaris (Yin Chen Hao)
Carthamus (Hong Hua)
Citrus peel (Chen Pi)
Cnidium (Chuan Xiong)
Corydalis (Yan Hu Suo)
Salvia (Dan Shen)

Retinal regeneration
Gingko leaf (Yin Xing Ye)
Panax quinquefolium (Xi Yang Shen)

Hypoglycemic/Renal protection
Alisma (Ze Xie)
Astragalus (Huang Qi)
Cordyceps (Dong Chong Xia Cao)
Dioscorea (Shan Yao)
Poria(Fu Ling)
Salvia (Dan Shen)

Cholesterol reduce/Circulating Immune Complex clearance
Angelica sinensis (Dang Gui)
Cordyceps (Dong Chong Xia Cao)

In diabetic patients, reducing blood sugar and lipids inhibit vascular injury that causes cardiovascular disease, retinopathy, peripheral neuropathy, and renal damage. By combining herbs that lower glucose and fats with those that improve retinal circulation, provide renal protection, and remove circulating immune complexes that cause vascular and kidney damage, the effects of the disease process may be minimized, improving lab values and reducing the severity of associated symptoms.

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